{"title":"A Prospective Study of the Impact of Persistent Nocturnal Enuresis on Female Sexual Function.","authors":"Kubilay Sarıkaya, Adem Sancı, Serkan Akpınar, Emre Hepşen, Metin Yığman","doi":"10.1007/s00192-025-06172-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>The aim of this study is to examine the effects of persistent nocturnal enuresis on female sexual function.</p><p><strong>Methods: </strong>This prospective study included adult females with monosymptomatic nocturnal enuresis (group 1) and healthy controls (group 2), all of whom were sexually active and in a relationship, between March 2023 and April 2024. The comparative analysis of group 1 and group 2 was performed using individual items from the Female Sexual Function Index (FSFI), the total FSFI score, and the overall Rosenberg Self-Esteem Scale (SES) score. Additionally, the Incontinence Quality of Life Questionnaire (I-QOL) was employed to assess the patients' quality of life. The comparative statistical analyses were conducted using the Mann-Whitney U test and the independent samples t test. Statistical significance was considered to be p < 0.05.</p><p><strong>Results: </strong>A total of 60 patients were included, with 30 patients (age range 19-36) in group 1 and 30 healthy controls (age range 19-41) in group 2. Group 1 had a significantly higher I-QOL score (median 55, range 20-108) than group 2 (median 5, range 1-25; p < 0.001). FSFI score was significantly lower in group 1 across all domains: desire, arousal, lubrication, orgasm, satisfaction, and pain (p < 0.05 for all). The total FSFI score was also significantly lower in group 1 (16.21 ± 2.38) than in group 2 (24.50 ± 3.97; p < 0.001). Additionally, group 1 had a significantly lower median SES score (11, range 5-20) than group 2 (17, range 8-29; p < 0.001).</p><p><strong>Conclusions: </strong>Nocturnal enuresis negatively affects sexual function and self-esteem in adult females. These findings emphasize the importance of addressing these aspects in the management of enuresis.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Urogynecology Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00192-025-06172-4","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction and hypothesis: The aim of this study is to examine the effects of persistent nocturnal enuresis on female sexual function.
Methods: This prospective study included adult females with monosymptomatic nocturnal enuresis (group 1) and healthy controls (group 2), all of whom were sexually active and in a relationship, between March 2023 and April 2024. The comparative analysis of group 1 and group 2 was performed using individual items from the Female Sexual Function Index (FSFI), the total FSFI score, and the overall Rosenberg Self-Esteem Scale (SES) score. Additionally, the Incontinence Quality of Life Questionnaire (I-QOL) was employed to assess the patients' quality of life. The comparative statistical analyses were conducted using the Mann-Whitney U test and the independent samples t test. Statistical significance was considered to be p < 0.05.
Results: A total of 60 patients were included, with 30 patients (age range 19-36) in group 1 and 30 healthy controls (age range 19-41) in group 2. Group 1 had a significantly higher I-QOL score (median 55, range 20-108) than group 2 (median 5, range 1-25; p < 0.001). FSFI score was significantly lower in group 1 across all domains: desire, arousal, lubrication, orgasm, satisfaction, and pain (p < 0.05 for all). The total FSFI score was also significantly lower in group 1 (16.21 ± 2.38) than in group 2 (24.50 ± 3.97; p < 0.001). Additionally, group 1 had a significantly lower median SES score (11, range 5-20) than group 2 (17, range 8-29; p < 0.001).
Conclusions: Nocturnal enuresis negatively affects sexual function and self-esteem in adult females. These findings emphasize the importance of addressing these aspects in the management of enuresis.
期刊介绍：
The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion
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